The nation’s uninsurance rate has remained below 11% since 2015, since the Affordable Care Act created the individual insurance marketplace. Insurance coverage in the U.S. has also benefited from Medicaid expansion in a majority of states and, more recently, increasingly generous federal subsidies in the ACA exchanges.
Medicaid redeterminations began in April after a period of continuous enrollment during the COVID-19 public health emergency. States have taken different approaches to the process, which has complicated efforts to get a clear picture of redeterminations’ impact on beneficiaries nationwide.